Inhalation device

ABSTRACT

Actuator for an inhaler for delivering medicament by inhalation. The actuator comprises a main body comprising a tubular member for receiving a canister containing medicament and having a valve stem extending therefrom, and an outlet assembly, as a part formed separately of the main body, comprising a mouthpiece for guiding medicament to the mouth of a user and a nozzle block for receiving the valve stem of the canister and delivering medicament from the canister into the mouthpiece. At least a part of the outlet assembly is configured so as to deform and optionally break on withdrawal of the outlet assembly from the main body so as to prevent re-use of the outlet assembly.

This application is a continuation of application Ser. No. 10/698,950, filed Nov. 3, 2003 now U.S. Pat. No. 7,367,333, which is a continuation of application Ser. No. 09/986,941, filed Nov. 13, 2001 now abandoned, which is a continuation of Ser. No. 09/214,757, filed Jan. 12, 1999 now abandoned, which is a 371 of PCT/SE98/02038, filed Nov. 11, 1998, the entire content of which is hereby incorporated by reference in this application.

The present invention relates to an actuator for an inhaler for administering medicament by inhalation and to an inhaler including the same.

BACKGROUND OF THE INVENTION

For some time, actuators have been known for delivering metered doses of medicament from aerosol canisters. Conventionally, these actuators comprise a single integral moulding in plastic material. After use with only one canister the actuator is discarded. This is desirable, since some medicaments which are delivered, will, over time, become deposited in the nozzle block and the mouthpiece of the actuator. One problem with such integral moulding actuators, is related to the fact that they often have to be provided in a number of different colours to indicate the medicament being delivered. In order to secure that the colour indication cannot be removed or fade away, a range of differently coloured actuators are conventionally moulded by using plastic material of different colour. However, even though all actuators are made of the same plastic material, they differ in composition as they all include different dyes or pigments. Due to this, each actuator in the range must undergo extensive evaluation in the regulatory phase.

U.S. Pat. No. 5,520,166 discloses a cassette for use in an aerosol delivery device. The cassette comprises, as separate parts, a mouthpiece and an elongated housing to one end of which the mouthpiece is attached. The cassette is intended to be located within another device. The mouthpiece effectively is attached as a lid at one end of the housing.

SUMMARY OF THE INVENTION

It is an aim of the present invention to provide an actuator of two-part construction, with an outlet assembly comprising those components which come into contact with medicament and a main body comprising the remainder. In this way, it is possible to allow for the manufacture of a range of actuators by providing the outlet assembly as a common part to the range and forming the main body from a material having different constitution and optionally any shape. Typically, the main body can be coloured or have a particular surface finish or decoration according to the medicament to be delivered. In addition, the second part can be formed to have a particular shape, such as that of an animal which may appeal to young children. Such two part construction is also advantageous for preparing regulatory documentation for each member of the range of actuators, as the documentation basically will be the identical for all members in the range including data relating to the common outlet assembly.

The outlet assembly can be provided as a replaceable part, whereby the main body is reused with several canisters, but the outlet assembly is replaced when changing canister. In this way the amount of waste is reduced, and in order to reduce the amount further, the material volume of the outlet assembly should be minimised. Moreover, an actuator with a replaceable outlet assembly makes it possible for patients to keep a “personalized” actuator for a longer period of time without risk for deteriorated performance due to medications deposited in the nozzle block etc without the need for extensive cleaning, simply by replacing the outlet assembly when switching canister. According to one embodiment, the outlet assembly is arranged to deform or optionally break when removed from the main body, whereby it must be replaced

In order to maximise the freedom of design of the main body, it is desired that the outlet assembly, which most likely is of another colour than the main body, constitutes as small part of the actuator external surface as possible.

Accordingly, the present invention provides an actuator for an inhaler for delivering medicament by inhalation, comprising: a main body comprising a tubular member for receiving a canister containing medicament and having a valve stem extending therefrom; and an outlet assembly, as a part formed separately of the main body, comprising a mouthpiece for guiding medicament to the mouth of a user and a nozzle block for receiving the valve stem of the canister and delivering medicament from the canister into the mouthpiece; wherein the main body is provided with an outlet opening for receiving the outlet assembly in a position wherein the mouthpiece extends outside the outlet opening and the nozzle block is inserted through the outlet opening and arranged in position for receiving the valve stem of the canister.

In such an actuator, only the mouth piece section of the outlet assembly extends outside the main body, thereby minimising its exposed external surface, while still comprising all the parts of the actuator that comes in contact with the medicament. Moreover, the outlet assembly according to this embodiment will be comprised of a very small volume of material.

Preferably, the outlet opening is a lateral opening at one end of the tubular member and arranged to receive the outlet assembly at an angle transverse to the length of the tubular member.

Preferably, the shape of the outlet opening is complementary to a tubular section of the outlet assembly mouth piece.

Preferably, the main body comprises guide means for guiding the outlet assembly to the correct position during insertion.

Preferably, the outlet assembly comprises a radial outwardly directed peripheral stop flange.

Preferably, the part of the outlet assembly to be inserted through the outlet opening at least partly is of general conical shape, with a leading end of small cross-sectional area, compared to the outlet opening, followed by a gradually larger section terminated by the mouth piece, to facilitate the insertion.

The outlet assembly according to the present invention is well suited for high speed assembly, but in order to further facilitate assembly, the part of the outlet assembly to be inserted into the outlet opening is given a conical shape, whereby the assembly line tolerances need not to be excessively high. Moreover, the guide means and the stop flange ensures that the outlet assembly will be fitted in exactly the right position without the need for any advanced control of the assembly line.

Preferably, the outlet assembly is formed as a single integral moulding.

Preferably, the nozzle block includes a bore having an opening for receiving the valve stem of a canister and a spray orifice configured to direct a spray into the mouthpiece.

Preferably, the main body and the outlet assembly are configured so as to snap-fit together in that they are provided with complementary snap catch members.

According to one embodiment, the snap catch members of both the main body and the outlet assembly are arranged inside the actuator in the assembled state.

Preferably, at least a part of the outlet assembly is configured so as to deform and optionally break on withdrawal of the outlet assembly from the main body so as to prevent re-use of the inhaler.

Preferably, the nozzle block is connected and supported by the mouthpiece providing an essentially free flow of air about the nozzle block.

Preferably, the nozzle block is attached to the mouthpiece by a connection having at least one member connecting a lower part of the mouthpiece with a lower part of the nozzle block and at least one member connecting an upper part of the mouthpiece with an upper part of the nozzle block, leaving there between an open path for flow of air during inhalation.

In line with the aim of the present invention, snap catch members provides for reliable high speed assembly, whereby the two parts of the actuator are assembled in one single step, while the actuator still being robust and reliable. Moreover, when the snap catch arrangement is arranged inside the actuator, it does not contribute to the external appearance of the actuator, at the same time as it makes tampering more difficult.

Preferably, the tubular member of the main body has an end surface adjacent to the outlet opening and wherein the nozzle block is supported by said end surface.

According to one embodiment, the bottom surface is provided with an alignment and support member for guiding the nozzle block to the correct position and for supporting the same in the generally vertical direction of the tubular member.

According to another embodiment, the outlet assembly comprises a nozzle block alignment and support member that is complementary to the alignment and support member of the main body, the complementary support means being so arranged to take up the transversal force applied on the nozzle block during actuation of a canister.

By the provision of a support for the nozzle block, the material volume of the outlet assembly can be further reduced, as the forces applied on the nozzle block support members are lowered in the critical direction(s).

According to one embodiment, the bottom surface is formed as a foot which is configured such that, with a canister fitted therein, the actuator will stand unsupported with the tubular member extending generally vertically.

Preferably, the actuator comprises, one or both of a breath actuation mechanism and a compliance monitor, in particular a dose counter. According to one embodiment the main body comprises one or both of the breath actuation mechanism and the compliance monitor, preferably, the foot comprises one or both of the breath actuation mechanism and the compliance monitor.

The present invention also extends to an inhaler comprising the above-described actuator and a canister containing medicament, a main body and an outlet assembly

Preferably, the inhaler is a pressurised metered dose inhaler.

A preferred embodiment of the present invention will now be described herein below by way of example only with reference to the accompanying drawings, in which:

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 illustrates a perspective view of an inhaler in accordance with a preferred embodiment of the present invention;

FIG. 2 illustrates a side view of the inhaler of FIG. 1;

FIG. 3 illustrates a front view of the inhaler of FIG. 1;

FIG. 4 illustrates a rear view of the inhaler of FIG. 1;

FIG. 5 illustrates a plan view of the inhaler of FIG. 1;

FIG. 6 illustrates an underneath plan view of the inhaler of FIG. 1;

FIG. 7 illustrates a horizontal sectional view (along section A-A) of the inhaler of FIG. 1;

FIG. 8 illustrates in enlarged scale a fragmentary view of the section illustrated in FIG. 7;

FIG. 9 illustrates a vertical sectional view (along section B-B) of the inhaler of FIG. 1;

FIG. 10 illustrates in enlarged scale a fragmentary view of the section illustrated in FIG. 9;

FIG. 11 illustrates a perspective view of the outlet assembly of the actuator of the inhaler of FIG. 1;

FIG. 12 illustrates a plan view of the outlet assembly of FIG. 11;

FIG. 13 illustrates an underneath plan view of the outlet assembly of FIG. 11;

FIG. 14 illustrates a side view of the outlet assembly of FIG. 11;

FIG. 15 illustrates a rear view of the outlet assembly of FIG. 11; and

FIG. 16 illustrates a front view of the outlet assembly of FIG. 11.

DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS

The inhaler comprises an actuator, which comprises a main body 2, an outlet assembly 4 fitted to a lower part of the main body 2 and a cap 6, and an aerosol canister 7 containing medicament fitted therein.

The main body 2 comprises a tubular member 8 having an opening 10 at one, the upper. end thereof into which a canister 7 having a valve stem 11 extending therefrom is in use fitted, and a foot 12 having a bottom surface which includes a recess 12 a, in this embodiment concave in shape, for receiving typically a thumb of a user. In an alternative embodiment the foot 12 can be formed with a substantially flat bottom surface. The foot 12 serves to allow the actuator to stand unsupported on a flat surface such that, when the actuator is not in use, it can be stored in an upright position. This is particularly advantageous when a canister 7 is fitted therein, since such canisters 7 should, ideally, be stored with the valve stem 11 directed downwards. The other, lower, end of the tubular member 8 is closed and includes a lateral opening 14, in this embodiment ovoid in shape, into which the outlet assembly 4 is fitted.

The main body 2 further comprises a pair of opposing projections 16 which extend inwardly from the inner surface of the tubular member 8 adjacent the lateral opening 14. The projections 16 are disposed to the sides of the lateral opening 14 and are spaced rearwardly therefrom.

The outlet assembly 4 comprises a tubular section 18, a major part of which defines the mouthpiece which is in use gripped by the lips of a user, and a nozzle block 20 connected thereto.

The tubular section 18 includes a radial outwardly-directed peripheral flange 22. When the outlet assembly 4 is inserted fully into the main body 2, the flange 22 abuts the lateral opening 14 such that the major part of the tubular section 18 extends outwardly of the main body 2.

The outlet assembly 4 further comprises first and second arms 24, 26 which extend rearwardly form respective sides of the tubular section 18. Each of the first and second arms 24, 26 includes a catch member 28, 30 which is adapted to engage with a respective one of the projections 16 on the inner surface of the tubular member 8 when the outlet assembly 4 is inserted fully into the main body 2. The catch members 28, 30 on the first and second arms 24, 26 each include a first surface 28 a, 30 a which has a rearwardly directed component and acts as a guiding surface, and a second surface 28 b, 30 b which is substantially orthogonally directed to the longitudinal axis of the outlet assembly 4 and acts as a locking surface.

The outlet assembly 4 further comprises a third arm 34 which extends rearwardly from the top of the tubular section 18. The third arm 34 includes a catch member 35 in the form of an outwardly-directed projection, which, when the outlet assembly 4 is inserted fully into the main body 2, engages behind a part of the tubular member 8 defining the lateral opening 14. The catch member 35 on the third arm 34, as with the catch members 28, 30 on the first and second arms 24, 26, includes a first surface 35 a which has a rearwardly directed component and acts as a guiding surface, and a second surface 35 b which is substantially orthogonally directed to the longitudinal axis of the outlet assembly 4 and acts as a locking surface.

The nozzle block 20 is connected to the tubular section 18 by first and second pairs of connecting elements 36, 38. The first pair of connecting elements 36 extend between a lower part of the nozzle block 20 and a lower part of the tubular section 18. As will be described herein below, in this embodiment the lower connecting elements 36 are configured to break or be permanently deformed on withdrawal of the outlet assembly 4 from the main body 2. The second pair of connecting elements 38 extend between an upper part of the nozzle block 20 and an upper part of the tubular section 18. The nozzle block 20 includes a tubular bore 40 which extends along the longitudinal axis of the tubular member 8 when the outlet assembly 4 is inserted fully into the main body 2. The tubular bore 40 is open at one, the upper, end and includes a laterally-directed spray orifice 42 at the other, lower, end. The spray orifice 42 is configured to direct a spray into the tubular section 18. In this embodiment the tubular bore 40 is adapted to receive the valve stem 11 of a canister 7.

The outlet assembly 4 further comprises a fourth arm 44 which extends forwardly and downwardly from the nozzle block 20. The distal end of the fourth arm 44 includes a catch member 46 which, when the outlet assembly 4 is inserted fully into the main body 2, engages behind a part of the tubular member 8 defining the lateral opening 14. The catch member 46 on the fourth arm 44 includes a surface 46 a which is substantially orthogonally directed to the longitudinal axis of the outlet assembly 4 and acts as a locking surface.

In manufacture, an outlet assembly 4 and a main body 2 are selected according to the requirements, based on colour, shape, etc., for the actuator. The outlet assembly 4 is then inserted into the lateral opening 14 in the main body 2 until the catch members 28, 30 on the first and second arms 24, 26 of the outlet assembly 4 engage with the respective projections 16 on the inner side surface of the tubular member 8 of the main body 2, and the catch members 34, 46 on the third and fourth arms 34, 44 of the outlet assembly 4 engage behind respective parts of the tubular member 8 defining the lateral opening 14. A canister 7 is then passed into the tubular member 8 of the main body 2 through the upper opening 10 such that the valve stem 11 of the canister 7 is located in the tubular bore 40 in the nozzle block 20. The inhaler is then ready for use.

By the provision of catch members the outlet assembly 4 is held in the main body 2 and the outlet assembly 4 cannot be non-destruct ably detached from the main body 2. As mentioned herein above, the outlet assembly 4 is configured to break or be permanently deformed if withdrawn from the main body 2 and thereby render the outlet assembly 4 and hence the actuator unusable. In this embodiment this is achieved by configuring the lower connecting elements 36 connecting the tubular section 18 and the nozzle block 20 of the outlet assembly 4 to break or be permanently deformed on withdrawal of the outlet assembly 4 from the main body 2.

Finally, it will be understood by a person skilled in the art that the present invention is not limited to the described embodiment but can be modified in many different ways within the scope of the appended claims. 

The invention claimed is:
 1. An actuator for an inhaler for delivering medicament by inhalation, the actuator comprising: a main body comprising a tubular member for receiving a canister containing medicament to be dispensed through a valve stem extending from the canister; and an outlet assembly formed separately and moveable relative to the main body, the outlet assembly comprising a mouthpiece for guiding medicament to the mouth of a user, a nozzle block for receiving the valve stem of the canister and delivering medicament from the canister into the mouthpiece, a first connecting element extending between a first end of the mouthpiece and a first end of the nozzle block, and a second connecting element extending between a second end of the mouthpiece and a second end of the nozzle block, said first connecting element being configured to break or permanently deform upon removal of the outlet assembly from the main body; wherein the main body is provided with an outlet opening for receiving the outlet assembly in a position wherein the mouthpiece extends outside the outlet opening and the nozzle block is inserted through the outlet opening and arranged in position for receiving the valve stem of the canister.
 2. The actuator according to claim 1, wherein the shape of the outlet opening is complementary to a tubular section of the outlet assembly mouth piece.
 3. The actuator according to claim 1, wherein the main body comprises guide means for guiding the outlet assembly to the correct position during insertion.
 4. The actuator according to claim 1, wherein the outlet assembly comprises a radial outwardly directed peripheral stop flange.
 5. The actuator according to claim 2, wherein the part of the outlet assembly to be inserted through the outlet opening at least partly is of general conical shape, with a leading end of small cross-sectional area, compared to the outlet opening, followed by a gradually larger section terminated by the mouth piece, to facilitate the insertion.
 6. The actuator according to claim 1, wherein the outlet assembly is formed as a single integral moulding.
 7. The actuator according to claim 1, wherein the nozzle block includes a bore having an opening for receiving the valve stem of a canister and a spray orifice configured to direct a spray into the mouthpiece.
 8. The actuator according to claim 1, wherein the main body and the outlet assembly are configured so as to snap-fit together in that they are provided with complementary snap catch members.
 9. The actuator according to claim 8, wherein the snap catch members of both the main body and the outlet assembly are arranged inside the actuator in the assembled state.
 10. The actuator according to claim 1, wherein the nozzle block is connected and supported by the mouthpiece providing an essentially free flow of air about the nozzle block.
 11. The actuator according to claim 1, wherein the tubular member of the main body has an end surface adjacent to the outlet opening and wherein the nozzle block is supported by said end surface.
 12. The actuator according to claim 11, wherein the end surface is provided with an alignment and support member for guiding the nozzle block to the correct position and for supporting the same in the generally vertical direction of the tubular member.
 13. The actuator according to claim 12, wherein the outlet assembly comprises a nozzle block alignment and support member that is complementary to the alignment and support member of the main body, the complementary support members being so arranged to take up the transversal force applied on the nozzle block during actuation of a canister.
 14. The actuator according to claim 11, wherein the end surface is formed as a foot which is configured such that, with a canister fitted therein, the actuator will stand unsupported with the tubular member extending generally vertically.
 15. The actuator according to claim 14, wherein the foot has a bottom surface which includes a recess for receiving a thumb or a finger of a user.
 16. The actuator according to claim 15, wherein the recess is concave.
 17. The actuator according to claim 14, wherein the foot has a bottom surface which is flat.
 18. The actuator according to claim 1, further comprising one or both of a breath actuation mechanism and a compliance monitor.
 19. The actuator according to claim 18, wherein the main body comprises one or both of the breath actuation mechanism and the compliance monitor.
 20. The actuator according to claim 19, wherein the tubular member of the main body has an end surface adjacent to the outlet opening and said end surface is formed as a foot configured such that, with a canister fitted therein, the actuator will stand unsupported with the tubular member extending generally vertically, said foot comprising one or both of the breath actuation mechanism and the compliance monitor.
 21. The actuator according to claim 1, wherein the main body and the outlet assembly are of different colour.
 22. An inhaler comprising the actuator according to claim 1 and a canister containing medicament.
 23. The inhaler according to claim 22, wherein the inhaler is a pressurised metered dose inhaler.
 24. An inhaler for delivering medicament by inhalation, the inhaler comprising: an actuator main body including a tubular member for receiving a canister having a valve stem for dispensing medicament; and an outlet assembly formed separately of the main body, said outlet assembly comprising a mouthpiece for guiding medicament to the mouth of a user, a nozzle block for receiving the valve stem of the canister and delivering medicament from the canister into the mouthpiece, a first connecting element extending between a first end of the mouthpiece and a first end of the nozzle block, and a second connecting element extending between a second end of the mouthpiece and a second end of the nozzle block, said first connecting element being configured to break or permanently deform upon removal of the outlet assembly from the main body, wherein the tubular member is provided with an outlet opening for receiving the outlet assembly in a position wherein the mouthpiece extends outside the outlet opening and the nozzle block is inserted through the outlet opening and arranged in position inside the tubular member, for receiving the valve stem of the canister, and wherein the outlet opening is a lateral opening at one end of the tubular member and arranged to receive the outlet assembly at an angle transverse to the tubular member.
 25. The inhaler according to claim 24, wherein the shape of the outlet opening is complementary to a tubular section of the outlet assembly.
 26. The inhaler according to claim 24, comprising guide means for guiding the outlet assembly to the correct position during insertion.
 27. The inhaler according to claim 24, wherein it is provided with snap catch members that are complementary to snap catch members on the outlet assembly.
 28. The inhaler according to claim 27, wherein the snap catch members are arranged inside the actuator in the assembled state.
 29. The inhaler according to claim 24, wherein the tubular member has an end surface adjacent to the outlet opening and wherein the end surface is arranged to support the nozzle block.
 30. The inhaler according to claim 29, wherein the end surface is provided with an alignment and support member for guiding the nozzle block to the correct position and for supporting the same in the generally vertical direction of the tubular member.
 31. The inhaler according to claim 24, wherein the end surface is formed as a foot which is configured such that, with a canister fitted therein, the actuator will stand unsupported with the tubular member extending generally vertically.
 32. The inhaler according to claim 31, wherein the foot has a bottom surface which includes a recess for receiving a thumb or a finger of a user.
 33. The inhaler according to claim 32, wherein the recess is concave.
 34. The inhaler according to claim 31, wherein the foot has a bottom surface which is flat.
 35. An outlet assembly of an actuator for an inhaler for delivering medicament by inhalation, the outlet assembly comprising: a mouthpiece for guiding medicament to the mouth of a user; a nozzle block for receiving a valve stem extending from a canister of the actuator and delivering medicament from the canister into the mouthpiece, a first connecting element extending between a first end of the mouthpiece and a first end of the nozzle block, said first connecting element being configured to break or permanently deform upon removal of the outlet assembly from a separately formed main body of the actuator; and a second connecting element extending between a second end of the mouthpiece and a second end of the nozzle block; wherein the outlet assembly is configured to operatively engage a separately formed main body of the actuator and moveable relative to said main body, wherein the outlet assembly is arranged to be received in a position wherein the mouthpiece extends outside the main body and the nozzle block is inserted inside the main body and arranged in position for receiving the valve stem of the canister, and wherein the nozzle block is arranged to receive the valve stem at an angle transverse to the mouthpiece.
 36. The outlet assembly according to claim 35, wherein the mouthpiece comprises a tubular section with a shape that is complementary to an outlet opening formed in the main body.
 37. The outlet assembly according to claim 35, comprising a radial outwardly directed peripheral stop flange.
 38. The outlet assembly according to claim 35, wherein the part to be inserted through an outlet opening of the main body has a generally conical shape, with a leading end of small cross-sectional area, compared to the outlet opening, followed by a gradually larger section terminated by the mouthpiece, to facilitate the insertion.
 39. The outlet assembly according to claim 35, being formed as a single integral moulding.
 40. The outlet assembly according to claim 35, wherein the nozzle block includes a bore having an opening for receiving the valve stem of a canister and a spray orifice configured to direct a spray into the mouthpiece.
 41. The outlet assembly according to claim 35, further comprising snap catch members that are complementary to snap catch members of the main body.
 42. The outlet assembly according to claim 41, wherein the snap catch members are arranged so that they are situated inside the actuator in the assembled state.
 43. The outlet assembly according to claim 35, wherein the nozzle block is connected and supported by the mouthpiece providing an essentially free flow of air about the nozzle block.
 44. The outlet assembly according to claim 35, wherein the tubular member of the main body has an end surface adjacent to an outlet opening of the main body and wherein the nozzle block is arranged to be supported by said end surface.
 45. The outlet assembly according to claim 44, wherein the end surface is provided with an alignment and support member for guiding the nozzle block to the correct position and for supporting the same in the generally vertical direction of the tubular member.
 46. The outlet assembly according to claim 45, wherein the outlet assembly comprises a nozzle block alignment and support member that is complementary to the alignment and support member of the main body, the complementary support means being so arranged to take up the transversal force applied on the nozzle block during actuation of a canister.
 47. An outlet assembly of an actuator for an inhaler for delivering medicament by inhalation, the outlet assembly comprising: a mouthpiece for guiding medicament to the mouth of a user; a nozzle block for receiving a valve stem extending from a canister of the actuator and delivering medicament from the canister into the mouthpiece; a first connecting element extending between a first end of the mouthpiece and a first end of the nozzle block, said first connecting element being configured to break or permanently deform upon removal of the outlet assembly from a separately formed main body of the actuator; and a second connecting element extending between a second end of the mouthpiece and a second end of the nozzle block; wherein the outlet assembly is configured to operatively engage the main body of the actuator and moveable relative to said main body, wherein the outlet assembly is arranged to be fitted in an outlet opening of the main body such that the mouthpiece extends outside the outlet opening and the nozzle block is inserted through the outlet opening and arranged in position for receiving the valve stem of the canister, and wherein the nozzle block is arranged to receive the valve stem at an angle transverse to the extension of the mouthpiece.
 48. An outlet assembly of an actuator for an inhaler for delivering medicament by inhalation, the outlet assembly comprising: a mouthpiece for guiding medicament to the mouth of a user; and a nozzle block for receiving a valve stem extending from a canister of the actuator and delivering medicament from the canister into the mouthpiece; a first connecting element extending between a first end of the mouthpiece and a first end of the nozzle block, said first connecting element being configured to break or permanently deform upon removal of the outlet assembly from a separately formed main body of the actuator; and a second connecting element extending between a second end of the mouthpiece and a second end of the nozzle block; wherein the outlet assembly is configured to operatively engage the main body of the actuator and moveable relative to said main body, and wherein the nozzle block is arranged to receive the valve stem at an angle transverse to the mouthpiece, the part to be inserted through the outlet opening at least partly being of general conical shape, with a leading end of small cross-sectional area, compared to an outlet opening in the main body, followed by a gradually larger section terminated by the mouthpiece, to facilitate the insertion.
 49. The actuator according to claim 18, wherein said compliance monitor is a dose counter. 